ZONAL TRAINING INSTITUTE, SOUTH ZONE,
EMPLOYEES’ PROVIDENT FUND ORGANISATION
15TH MAIN ROAD, RANGANATHAN GARDENS, ANNA NAGAR (WEST),
CHENNAI – 600 040.
PHONE : 044 – 2628 45 65, 2620 3327,FAX: 044-2628 59 47
E-mail: ztisz [at] yahoo [dot] co [dot] in, ztisouthzone [at] gmail [dot] com

TRAINING PROGRAMME FOR EMPLOYERS ON
“EMPLOYEES’ PROVIDENT FUND & MISCELLANEOUS PROVISIONS ACT 1952 &
EMPLOYEES’ PENSION SCHEME 1995”

VENUE : ZONAL TRAINING INSTITUTE,SOUTH ZONE,
15TH MAIN ROAD, RANGANATHAN GARDENS
ANNA NAGAR (WEST), CHENNAI – 40.
DATES & TIME : 13.3.2007 & 14.3.2007 - 09.30 am to 05.15 pm
N O M I N A T I O N F O R M
Name (in BLOCK letters) : ………………..MALE / FEMALE
Age : ……. (Experience No. of years)……….
Designation :…………………………………………..
Nature of job handled :…………………………………………..
Educational & Professional : ………………………………………….
Qualifications
Languages known:
Name of the Organisation : …………………………………………
and address for Correspondence ..……………………………………….
…………………………………………
EPF Code No. of the Establishment : …………………………………………..
Whether Exempted or
Unexempted Establishment : …………………………………………..
Telephone : …………………………………………...
Fax : …………………………………………..
E-Mail : …………………………………………...
Is dormitory accommodation required? :
Signature of participant : ………………………………………………
Signature of Sponsoring Authority
certifying the above data : ……………………………………………
NOTE: COURSE FEE of Rs.2000/- per participant is to be paid by DD drawn in favour of ‘RPFC-I,
ZTI, SZ, Chennai’ which is non-refundable.
Language Read Write Speak